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Physical activity and function in adolescents with chronic pain: a controlled study using actigraphy.

Anna C Wilson1, Tonya M Palermo

  • 1Department of Pediatrics, Child Development and Rehabilitation Center, Oregon Health & Science University, Portland, Oregon 97239, USA. longann@ohsu.edu

The Journal of Pain
|November 22, 2011
PubMed
Summary

Adolescents with chronic pain show reduced physical activity and poorer physical functioning compared to healthy peers. Objective actigraphy measures confirm lower activity levels, highlighting a distinct aspect of physical functioning for intervention targets.

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Area of Science:

  • Pediatric Rheumatology
  • Adolescent Health
  • Pain Management

Background:

  • Chronic pain significantly impacts adolescents' physical functioning, often assessed via self-report.
  • Objective measures like actigraphy offer insights into physical activity levels, a key component of functioning.

Purpose of the Study:

  • To compare physical functioning dimensions between adolescents with chronic pain and healthy controls.
  • To investigate the relationship between subjective and objective physical functioning measures.
  • To identify predictors of physical activity in adolescents with chronic pain.

Main Methods:

  • Employed subjective self-report and objective actigraphy (motion monitoring) to assess physical functioning.
  • Recruited a clinical sample of adolescents with chronic pain (n=78) and a healthy comparison group (n=59).

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Physical Activity Measurement in Children Accepting Table Tennis Training

Published on: July 27, 2022

  • Examined individual and pain characteristics as predictors of actigraphy outcomes.

    • Main Results:

    • Adolescents with chronic pain reported significantly poorer physical functioning and exhibited lower physical activity levels objectively measured by actigraphy.
    • Actigraphy-measured physical activity showed moderate correlation with self-reported physical functioning.
    • Adolescent age, sex, and BMI percentile predicted physical activity levels in the chronic pain group.

    Conclusions:

    • Adolescents with chronic pain experience objectively lower physical activity and subjectively impaired physical functioning compared to healthy peers.
    • Actigraphy provides objective data on physical activity, a distinct and crucial dimension of physical functioning.
    • Objective physical activity assessment can identify intervention targets for improving physical functioning in adolescents with chronic pain.